Healthcare Provider Details

I. General information

NPI: 1740179670
Provider Name (Legal Business Name): SOS CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15010 LONGS LN
PUNTA GORDA FL
33982-2700
US

IV. Provider business mailing address

15010 LONGS LN
PUNTA GORDA FL
33982-2700
US

V. Phone/Fax

Practice location:
  • Phone: 504-648-7924
  • Fax:
Mailing address:
  • Phone: 504-648-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: RODERICK BENNETT
Title or Position: CMO
Credential: MD
Phone: 504-648-7924